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Re: Digest Number 642

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Although cocaine causes that kind of vasoconstriction, lidocaine does

not, usually. That's why cocaine remains the preferred local

anesthetic for some nasal surgeries. When lidocaine is injected into

the skin for local anesthesia, it is usually a localized nerve block,

and not a wide swath of skin.

I would wonder who injected the lidocaine, and if they knew what they

were doing. No telling what else happened, and from your note, it's

hard to say if you have had just a severe bruise, from bleeding into

the site where bioalcamid was injected, something that could happen

with any product.

JB

On Jun 13, 2004, at 5:51 AM, lipodystrophy wrote:

> I was injected

> with lidocaine to reduce pain. My guess is that lidocaine caused a

> local vasoconstriction, which explains why the skin was tight and

> pale, and ultimately resulted in ischemic skin necrosis. Ischemic

> skin necrosis due to lidocaine seems more possible on the forehead,

> where there is very little soft tissue under the skin. I may be

> totally wrong, but that's my explanation for now

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